- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Role:Job SummaryPrimarily responsible for the investigation and management of workers' compensation claims . Conducts a 1 to 3-point contact on the managed claims ... the facts of the case or the claim type; determines compensability of claims , manages the medical treatment program, and assists in the return-to-work process. This… more
- Spectraforce Technologies Inc (Atlanta, GA)
- Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings: 8:00 am - 8:00 pm EST Job Details: Complete data entry from the enrollment form ... Under the general supervision of an Operations Manager, the Customer Access Specialist will be providing advanced services to patients, providers, and caregivers on… more
- MultiPlan (Atlanta, GA)
- …MultiPlan and we are where bright people come to shine! The Senior Medical Coding Specialist provides analysis of the highest dollar and most complex claims by ... protocols. Drive successful coding operations through the application of learned, certified knowledge in addition to continuous professional development and ongoing… more
- MultiPlan (Naperville, IL)
- …people come to shine! JOB SUMMARY: The position requires the Operation Support Specialist to assist the recovery team performing various duties when needed. The ... AND RESPONSIBILITIES:1. Completing data entry and new case creation. 2. Reviewing claims . 3. Retrieving, imaging and prioritizing the daily incoming mail (must be… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …improving the health of our communities. About the Role:Job SummaryThe Patient Safety Specialist will support the NGPG Patient Safety & Risk Management programs by ... safety initiatives, risk management programs, and patient variance processes. The Specialist will monitor trends, conduct investigations and complete audits to… more
- Creative Financial Staffing (Beaverton, OR)
- Payroll & Benefits Specialist We are seeking a highly organized and detail-oriented individual to join our client's team as a Payroll & Benefits Specialist . This ... over 100 employees using ADP Workforce Now. Generate accurate and timely certified payroll reports. Maintain accurate and up-to-date employee files and information.… more
- Valmont Industries, Inc. (Farmington, MN)
- …manage data related to EHS events such as injuries, workers compensation claims , near miss incidents and internal and external inspections, and environmental ... health and safety regulatory agencies.Successful completion of the Valmont EHS Specialist curriculum within 3 months of hire Other Important Details about… more
- Blanchard Valley Hospital (Findlay, OH)
- …response to investigational or potential compliance risks. Duty 7: Work with Coding Claims Resolution Specialist (CCRS) to review denial trends, whether coding ... or CCS-P) required or obtained with 9 months of hire date CDEO ( Certified Documentation Expert Outpatient) certification required or achieved within 9 months or CPMA… more
- ChristianaCare (Wilmington, DE)
- … Certified Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified ); Certified Coding Specialist (CCS); In-depth knowledge of ICD ... RHIT) Equivalent experience of 5+ years' experience in provider auditing, claims auditing, compliance auditing, quality assurance, and/or recovery auditing Coding… more
- Zurich NA (Addison, TX)
- Auto Litigation Claims Specialist 113285 Zurich is currently...Degree and 3 or more years of experience in Claims or Insurance + OR Zurich Certified ... seeking an Auto Litigation Claims Specialist II. At Zurich North America Claims , we understand the importance of work-life balance and flexibility in your… more
- Zurich NA (New York, NY)
- Claims Specialist II, General Liability, Dedicated...and 3 or more years of experience in the Claims or Insurance areaOR + Zurich Certified ... Team 113758 Zurich North America is seeking a skilled Claims Specialist to handle Commercial General Liability (CGL) litigated files within our dedicated team… more
- Zurich NA (Dallas, TX)
- Claims Specialist I, General Liability 112465 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... our General Liability team. As a General Liability (GL) Claims Specialist , you will work with a...Claims Foundational Training Program (CTP); OR + Zurich Certified Insurance Apprentice including an Associate Degree with 2… more
- Beth Israel Lahey Health (Burlington, MA)
- …CPC-A ( Certified Professional Coder - Apprentice through AAPC), or CCS-P ( Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... provider documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation review and… more
- Ramsey County (St. Paul, MN)
- …process shall be placed on the eligible list for an employment opportunity as a Claims Analyst. This list will be certified to the appointing authority which may ... Claims Analyst Print (https://www.governmentjobs.com/careers/ramsey/jobs/newprint/4536137) Apply Claims Analyst Salary $63,652.00 - $94,277.52 Annually… more
- Allied Universal (Beckley, WV)
- …Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property ... most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for Insurance … more
- CVS Health (Phoenix, AZ)
- …knowledge of problem solving and decision making skills Preferred Qualifications . Certified Billing and Coding Specialist (CBCS) preferred. Education High ... with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical… more
- New York State Civil Service (Buffalo, NY)
- NY HELP Yes Agency Workers' Compensation Board Title Compensation Claims Referee (NY HELPS), WCB Items #2928 #2929 Occupational Category Legal Salary Grade 28 ... Volunteer Ambulance Workers' Benefit Law, Personal Injury Law, or Insurance Claims Law. Qualifying experience includes: experience as an attorney representing… more
- Allied Universal (Pittsburgh, PA)
- …Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property ... Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation… more
- Medical Mutual of Ohio (Brooklyn, OH)
- **_The Claims /Customer Care Specialist - TPA position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, ... equivalent combination of training and experience. . 2 years' experience as a Claims /Customer Care Specialist or equivalent customer service experience in the… more
- 315 health (Macon, GA)
- Certified Electronic Health Records Specialist At Hive, LLC, we are seeking a Certified Electronic Health Records (EHR) Specialist to join our team. As ... patient medical records and provide proper documentation for unpaid insurance claims + Communicate with healthcare professionals to obtain necessary information for… more
